NPI | 1992863971 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M7020) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 238603) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2009-06-02 |