NPI | 1851581383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 272836) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR e-6146) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2014-03-27 |