NPI | 1578580197 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX K7465) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 3376) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2008-11-26 |