| NPI | 1063697233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: CA a115652) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IN 11013331A) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2021-10-21 |