NPI | 1962470328 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 24793) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 43571) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2015-03-26 |