NPI | 1932498011 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D78852) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD042850) |
207P00000X Emergency Medicine (Licence: CA 135519) | |
Enumeration Date | 2011-03-29 |
Last Update Date | 2015-07-27 |