NPI | 1447540067 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 126109) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 2758) |
207P00000X Emergency Medicine (Licence: NY 320631) | |
Enumeration Date | 2011-04-15 |
Last Update Date | 2023-01-30 |