NPI | 1649237272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME148085) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G63685) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2023-03-16 |