NPI | 1487602587 |
---|---|
Other Name | BARNEY FRITZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 103444) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 103444) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2018-12-12 |