NPI | 1699068601 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 140040) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q3901) |
Enumeration Date | 2011-05-24 |
Last Update Date | 2020-07-06 |