NPI | 1467530121 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A51303) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A51303) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2008-06-09 |