NPI | 1598850851 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 38354) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 38354) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2018-12-31 |