NPI | 1255629994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A129408) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ r72573) |
207Q00000X Family Medicine (Licence: CA A129408) | |
Enumeration Date | 2011-07-15 |
Last Update Date | 2023-09-06 |