NPI | 1578829438 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A12409) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A12409) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2021-12-02 |