NPI | 1942507884 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME38636) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME38636) |
Enumeration Date | 2011-02-11 |
Last Update Date | 2014-03-11 |