NPI | 1831174390 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL DO.339) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 02283) |
207Q00000X Family Medicine (Licence: AL DO.339) | |
Enumeration Date | 2005-12-07 |
Last Update Date | 2024-08-16 |