NPI | 1063711356 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C195946) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0053972) |
Enumeration Date | 2011-03-25 |
Last Update Date | 2024-08-30 |