NPI | 1467957951 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A165691) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 63242) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2024-03-14 |