NPI | 1568982965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A171407) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 271502) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2023-11-07 |