NPI | 1356410369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NV 4845) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 4845) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2007-11-08 |