NPI | 1568569895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 16242) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 16242) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2014-10-08 |