NPI | 1639332273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL DO1446) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 20491) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2017-04-19 |