NPI | 1821352717 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 073679) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 005628) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2015-06-19 |