NPI | 1861433112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 5758) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA a62677) |
207P00000X Emergency Medicine (Licence: HI MD12007) | |
Enumeration Date | 2006-06-09 |
Last Update Date | 2007-07-08 |