NPI | 1790760551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A104178) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 234034) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2011-03-14 |