NPI | 1619406758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A173077) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301119035) |
Enumeration Date | 2017-06-11 |
Last Update Date | 2021-08-06 |