NPI | 1801214275 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A150799) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 269282) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2022-04-14 |