NPI | 1730529694 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A144334) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301103709) |
Enumeration Date | 2013-06-25 |
Last Update Date | 2016-08-22 |