NPI | 1578721866 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 45465) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01068464A) |
207P00000X Emergency Medicine (Licence: PA MT188168) | |
Enumeration Date | 2008-05-23 |
Last Update Date | 2014-05-02 |