NPI | 1942463732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA D0.000168) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 249202-1) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2009-11-25 |