NPI | 1962540765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A103672) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 230648) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2015-02-26 |