NPI | 1578508149 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0060545) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301098748) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2013-11-22 |