NPI | 1831401546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A11991) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX S4676) |
Enumeration Date | 2010-07-10 |
Last Update Date | 2022-01-03 |