NPI | 1952455693 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: CT 038689) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 038689) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2008-06-02 |