NPI | 1659478972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 7907) |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PR 7907) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2021-09-21 |