NPI | 1922161835 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C183795) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2008006650) |
207PT0002X Emergency Medicine, Medical Toxicology (Licence: MO 2008006650) | |
207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA C183795) | |
208D00000X General Practice (Licence: MO 2008006650) | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2023-02-03 |