NPI | 1285856971 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR ar-e-5146) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR e5146) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2024-05-21 |