NPI | 1780895078 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301095308) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57011085) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2009-07-21 |