NPI | 1922259001 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA 20A10558) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 008292) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2023-08-25 |