NPI | 1477510543 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NM A-1224-03) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NM A122403) |
208600000X Surgery (Licence: NM A122403) | |
Enumeration Date | 2006-05-01 |
Last Update Date | 2017-01-30 |