NPI | 1871767004 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A122778) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 40406) |
Enumeration Date | 2008-04-18 |
Last Update Date | 2018-12-03 |