NPI | 1750330056 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 33416) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 2004-0605) |
Enumeration Date | 2006-05-06 |
Last Update Date | 2007-07-08 |