NPI | 1588683619 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE CI0002406) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0029221) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2007-07-08 |