NPI | 1912326836 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C179538) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA TD61442314) |
Enumeration Date | 2014-04-08 |
Last Update Date | 2023-07-17 |