NPI | 1730408964 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-13807) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60390369) |
Enumeration Date | 2010-05-27 |
Last Update Date | 2019-01-16 |