NPI | 1558562561 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME106311) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 63241) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2018-08-17 |