NPI | 1790731222 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 016195) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 09750) |
207P00000X Emergency Medicine (Licence: AL MD.27709) | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2013-01-09 |