NPI | 1639223605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02003439) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101009164) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2011-12-16 |