NPI | 1386663987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G61141) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G61141) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2018-03-28 |