NPI | 1992758411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 1441) |
Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: WV 1441) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2024-01-25 |