NPI | 1780641712 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G42150) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G42150) |
207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: CA G42150) | |
208D00000X General Practice (Licence: CA G42150) | |
207RA0401X Internal Medicine, Addiction Medicine (Licence: CA G42150) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: CA G42150) | |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA G42150) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: CA G42150) | |
202K00000X (Licence: CA G42150) | |
209800000X Legal Medicine (Licence: CA G42150) | |
207N00000X Dermatology (Licence: CA G42150) | |
Enumeration Date | 2006-04-26 |
Last Update Date | 2010-05-24 |