NPI | 1851666150 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.207434) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 24612) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2016-11-14 |