NPI | 1033158670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA G58853) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G54853) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2013-11-26 |