NPI | 1144491622 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MA 234067) |
Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: MA 234067) |
Enumeration Date | 2008-03-12 |
Last Update Date | 2008-03-12 |