NPI | 1043221781 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G48752) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G48752) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2022-04-21 |