NPI | 1962669069 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NC 2010-00268) |
Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: NC 2010-00268) |
Enumeration Date | 2008-05-18 |
Last Update Date | 2012-04-12 |