NPI | 1194906867 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: FL ME99719) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME99719) |
Enumeration Date | 2007-11-21 |
Last Update Date | 2007-11-21 |