NPI | 1043376049 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C141538) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2006-01738) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2019-03-13 |