NPI | 1952456527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 2509) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS 015014) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2013-08-13 |