NPI | 1962022707 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A186570) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 75738) |
Enumeration Date | 2020-04-22 |
Last Update Date | 2025-09-18 |