NPI | 1740249853 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 200001617) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2000-01617) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2007-10-12 |