NPI | 1326097338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A85874) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2006-0790) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2024-08-14 |