NPI | 1407885577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A76188) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A76188) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2010-11-05 |