NPI | 1760512966 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 134234) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI 15211) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2009-07-21 |