NPI | 1881038925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A142670) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 9149605-1205) |
Enumeration Date | 2013-04-19 |
Last Update Date | 2016-07-13 |