NPI | 1457918740 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A186932) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301507867) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A186932) | |
Enumeration Date | 2019-05-22 |
Last Update Date | 2025-08-14 |