NPI | 1861463903 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA 60072215) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01060155a) |
207P00000X Emergency Medicine (Licence: TN 41352) | |
Enumeration Date | 2006-01-27 |
Last Update Date | 2012-03-01 |