NPI | 1497101380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A168772) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 267022) |
Enumeration Date | 2016-05-10 |
Last Update Date | 2024-03-14 |