NPI | 1871516575 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX H4037) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 9977) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2014-09-25 |