NPI | 1780648691 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 042-0010022) |
Additional Taxonomies | 173000000X Legal Medicine (Licence: VT 0420010022) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2024-04-16 |