NPI | 1962576470 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 45921) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME97041) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2008-02-05 |