NPI | 1700818077 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 22343) |
Additional Taxonomies | 174400000X Specialist (Licence: CO 22343) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2011-03-21 |