NPI | 1841238920 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 13904) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 13904) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2016-12-30 |