NPI | 1144362773 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-139423) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 24556) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2023-12-21 |