NPI | 1700173317 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SD 9174) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 6473) |
Enumeration Date | 2011-07-03 |
Last Update Date | 2014-07-22 |