NPI | 1407847734 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C 43042) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA C43042) |
207PE0004X Emergency Medicine Emergency Medical Services (Licence: CA C43042) | |
207QG0300X Family Medicine Geriatric Medicine (Licence: CA C 43042) | |
2083X0100X Preventive Medicine Occupational Medicine (Licence: CA C 43042) | |
Enumeration Date | 2005-11-04 |
Last Update Date | 2014-04-25 |