NPI | 1922051457 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MI 4301039664) |
Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301039664) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2018-01-24 |