NPI | 1922278852 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.092353) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301090897) |
207P00000X Emergency Medicine (Licence: IN 01065803A) | |
207Q00000X Family Medicine (Licence: WI 52437-020) | |
Enumeration Date | 2008-03-06 |
Last Update Date | 2010-11-19 |