NPI | 1972609147 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 19537) |
Additional Taxonomies | 208D00000X General Practice (Licence: WV 19537) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2007-07-08 |