NPI | 1144269895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.25374) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 25374) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2019-03-11 |