NPI | 1659354256 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MI 5101015122) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101015122) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2024-03-22 |