NPI | 1700967262 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.200970) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 200970) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2014-10-20 |