NPI | 1972527109 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A49184) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A49184) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2018-10-09 |