NPI | 1932126489 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101-039671) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101039671) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2016-06-08 |