NPI | 1023364866 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q6349) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A127999) |
Enumeration Date | 2012-07-30 |
Last Update Date | 2016-10-21 |