NPI | 1437175171 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NM A-1178-02) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM A-1187-02) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2024-01-08 |