NPI | 1649416595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 269570) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 050770) |
Enumeration Date | 2008-12-24 |
Last Update Date | 2017-03-10 |