NPI | 1356920615 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A192784) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4351048313) |
207P00000X Emergency Medicine (Licence: MA 1024657) | |
Enumeration Date | 2021-04-05 |
Last Update Date | 2025-08-01 |