NPI | 1720516743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A164295) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT213671) |
Enumeration Date | 2017-06-03 |
Last Update Date | 2020-10-28 |