NPI | 1871584185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G41598) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G41598) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2007-09-10 |