NPI | 1801024799 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 1676) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101018232) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2014-06-03 |