NPI | 1851321244 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY TP306) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME95742) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2013-08-01 |