NPI | 1902079551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0076785) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2011-01925) |
Enumeration Date | 2008-04-03 |
Last Update Date | 2014-01-07 |