NPI | 1700171279 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A12016) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 005621) |
Enumeration Date | 2011-06-13 |
Last Update Date | 2014-12-08 |