NPI | 1255694238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A142010) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301100831) |
Enumeration Date | 2012-06-24 |
Last Update Date | 2024-08-12 |