NPI | 1467644765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 12614) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A95233) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2021-07-30 |