NPI | 1154398352 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 21183) |
Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: OK 21183) |
Enumeration Date | 2006-03-07 |
Last Update Date | 2009-03-06 |