NPI | 1598865503 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD070485L) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01087822A) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2024-09-09 |