NPI | 1861889065 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A143793) |
Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: CA A143793) |
Enumeration Date | 2015-04-25 |
Last Update Date | 2024-03-19 |