NPI | 1891963237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX 8237) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A96780) |
207P00000X Emergency Medicine (Licence: NV 13203) | |
Enumeration Date | 2008-02-20 |
Last Update Date | 2023-11-28 |