NPI | 1326627209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX V7687) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A197164) |
Enumeration Date | 2021-04-07 |
Last Update Date | 2025-08-12 |