NPI | 1922049295 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G32876) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G32876) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2009-02-27 |