NPI | 1487688941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G46387) |
Additional Taxonomies | 173000000X Legal Medicine (Licence: CA G46387) |
207R00000X Internal Medicine (Licence: CA G46387) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2024-02-16 |