NPI | 1871822726 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2021-01292) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A117342) |
207P00000X Emergency Medicine (Licence: AZ 69633) | |
Enumeration Date | 2009-12-23 |
Last Update Date | 2023-07-11 |