NPI | 1194803817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA g55168) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G55168) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA g55168) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2016-06-24 |