NPI | 1366539843 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A78500) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A78500) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2022-02-08 |