NPI | 1669792685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV DO1870) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT013468) |
Enumeration Date | 2010-06-02 |
Last Update Date | 2015-03-25 |