NPI | 1902148505 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A147389) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 268893) |
Enumeration Date | 2013-03-21 |
Last Update Date | 2021-10-21 |