NPI | 1013087485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60990596) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD16726) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2020-02-24 |