NPI | 1619136918 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N4317) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 38635) |
Enumeration Date | 2008-06-03 |
Last Update Date | 2011-03-30 |