NPI | 1053475632 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX K4431) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G80680) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2024-09-16 |