| NPI | 1285084384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MA 268618) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: FL TRN39771) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2024-06-12 |