NPI | 1508993528 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A71191) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A71191) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2021-05-27 |