NPI | 1255396073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 20170) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 20170) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2018-10-02 |