NPI | 1770540379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G47592) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA G47592) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2020-01-07 |