NPI | 1982649141 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA g77351) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA G77351) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2022-07-21 |