NPI | 1851596134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 235511) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 103100) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2011-03-25 |