NPI | 1871533992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2001-00052) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME88851) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2019-05-13 |