NPI | 1386756971 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 36644) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS008731L) |
207Q00000X Family Medicine (Licence: PA OS008731L) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-10-26 |