NPI | 1558820340 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A21148) |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
Enumeration Date | 2019-03-19 |
Last Update Date | 2024-03-29 |