NPI | 1669794962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA c43189) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA c43189) |
Enumeration Date | 2010-02-28 |
Last Update Date | 2016-02-25 |