NPI | 1568704914 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A132868) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0074470) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2025-03-25 |