NPI | 1023881646 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: CA G32664) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G32664) |
Enumeration Date | 2023-11-06 |
Last Update Date | 2023-11-06 |