NPI | 1467463828 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: TN 8483) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 8483) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2010-06-30 |