NPI | 1629397153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 130811) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO TL-3588) |
207P00000X Emergency Medicine (Licence: CO 52351) | |
Enumeration Date | 2010-05-24 |
Last Update Date | 2021-10-21 |