NPI | 1619956976 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA 20A9214) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A9214) |
Enumeration Date | 2006-01-13 |
Last Update Date | 2024-10-22 |