NPI | 1962563312 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD427299) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A103565) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2011-04-26 |