NPI | 1376084715 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 67392) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 1376084715) |
207P00000X Emergency Medicine (Licence: CA A171654) | |
Enumeration Date | 2017-03-18 |
Last Update Date | 2023-09-17 |