NPI | 1073543880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2015040160) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A7722) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2017-03-06 |