NPI | 1922046838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 12271) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 12271) |
208D00000X General Practice (Licence: PR 12271) | |
Enumeration Date | 2006-06-03 |
Last Update Date | 2018-11-13 |