NPI | 1548204423 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-90981) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A62140) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2024-02-19 |