NPI | 1922079110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA a76430) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA a76430) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2016-09-18 |