NPI | 1427208081 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A118031) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A118031) |
Enumeration Date | 2008-09-19 |
Last Update Date | 2015-08-20 |