NPI | 1376516880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME85167) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME85167) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2024-11-18 |