NPI | 1649209123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175L00000X Homeopath (Licence: CT 000248) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 000248) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2013-08-09 |