NPI | 1790758530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C529720) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C52972) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2014-03-10 |