NPI | 1821297888 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME 27131) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ME 27131) |
Enumeration Date | 2007-07-11 |
Last Update Date | 2007-07-11 |