NPI | 1619043387 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A041660) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A 41660) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2021-05-19 |