NPI | 1669659835 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P0549) |
Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: TX P0549) |
Enumeration Date | 2008-01-29 |
Last Update Date | 2012-04-02 |