NPI | 1578536850 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE CST00093) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C5-0000516) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2016-06-06 |