NPI | 1720072333 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 6126) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A34567) |
207P00000X Emergency Medicine (Licence: NM MD2006-0062) | |
207P00000X Emergency Medicine (Licence: HI MD13719) | |
Enumeration Date | 2005-09-09 |
Last Update Date | 2009-11-15 |