NPI | 1790939973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.010548) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 4299) |
207P00000X Emergency Medicine (Licence: NE 910) | |
Enumeration Date | 2008-11-14 |
Last Update Date | 2012-07-05 |