NPI | 1164458246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 15319) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 15319) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2010-04-06 |