| NPI | 1003921172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 22475) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 23852) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2014-05-13 |