NPI | 1861488413 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 7284305-1204) |
Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: ID 0-319) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2010-09-10 |