NPI | 1821030040 |
---|---|
Other Name | BRUCE ST. AMOUR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102205608) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 014898) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2019-05-28 |