NPI | 1720196611 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A56103) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A56103) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2016-10-27 |