NPI | 1699099242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C166621) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 259077) |
207P00000X Emergency Medicine (Licence: ME MD20943) | |
Enumeration Date | 2010-03-24 |
Last Update Date | 2024-03-09 |