NPI | 1336160571 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60636094) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD21165) |
207P00000X Emergency Medicine (Licence: CA C54418) | |
207P00000X Emergency Medicine (Licence: WI 54948-20) | |
Enumeration Date | 2006-07-22 |
Last Update Date | 2021-04-13 |