NPI | 1609036839 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 26443) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 26443) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2022-04-19 |