NPI | 1558588681 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 4605) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M5798) |
207P00000X Emergency Medicine (Licence: TX M5798) | |
Enumeration Date | 2007-04-19 |
Last Update Date | 2008-04-17 |