NPI | 1740548007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A122088) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q4636) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2025-06-23 |