NPI | 1366946501 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 74743) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A164391) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2025-03-18 |