NPI | 1205863909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A62970) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA G85917) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2020-02-25 |