NPI | 1952515959 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A94899) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A94899) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-03-24 |