NPI | 1780624692 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 13439) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 057487) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2010-11-03 |