NPI | 1912966615 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX G3499) |
Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: TX G3499) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2011-11-23 |