NPI | 1487803326 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101017813) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101017813) |
Enumeration Date | 2008-09-16 |
Last Update Date | 2016-03-15 |