NPI | 1205940756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A82294) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 10970) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2014-08-01 |