NPI | 1710915558 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.013749) |
Additional Taxonomies | 174400000X Specialist (Licence: LA 013749) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2012-02-08 |