NPI | 1811933880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 4162) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34008307) |
207P00000X Emergency Medicine (Licence: NE 793) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2013-06-19 |