NPI | 1790922011 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 42878) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036122205) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2015-06-08 |