NPI | 1790984730 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 44363) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A100750) |
Enumeration Date | 2007-07-11 |
Last Update Date | 2010-09-30 |