NPI | 1447288949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 0055140) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME 0055140) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2023-03-07 |