NPI | 1821133257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C7-0003244) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C7-0003244) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2007-08-23 |