NPI | 1447244389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G59370) |
Additional Taxonomies | 208D00000X General Practice (Licence: SD 11968) |
Enumeration Date | 2005-09-07 |
Last Update Date | 2023-09-05 |