NPI | 1578764205 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N5690) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102202169) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2010-11-04 |