NPI | 1841369105 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 030228) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 030228) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2016-07-14 |