NPI | 1821385436 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.122960) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R72784) |
Enumeration Date | 2011-07-03 |
Last Update Date | 2014-08-04 |