NPI | 1841360294 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60012956) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 232511) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2018-03-17 |