NPI | 1023270774 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60204584) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 125054778) |
207P00000X Emergency Medicine (Licence: GU EMTL-2020-015) | |
Enumeration Date | 2008-06-25 |
Last Update Date | 2021-05-06 |