NPI | 1649253725 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 000525) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 208715) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2016-05-13 |