NPI | 1538199104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A77851) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A77851) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-12-11 |