NPI | 1891322129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20793) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151014314) |
Enumeration Date | 2020-03-25 |
Last Update Date | 2024-10-02 |