NPI | 1750383105 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NE 255) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 255) |
Enumeration Date | 2005-08-15 |
Last Update Date | 2018-07-17 |