NPI | 1588893432 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101018227) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MI 5101018227) |
Enumeration Date | 2009-07-13 |
Last Update Date | 2012-07-25 |