NPI | 1386220283 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX u9694) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A194830) |
Enumeration Date | 2021-03-22 |
Last Update Date | 2024-06-07 |