NPI | 1760532006 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 5438) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 000019852) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2007-07-08 |