NPI | 1366460990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME90007) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME90007) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2015-03-19 |