| NPI | 1205034378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301090299) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301090299) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2019-11-25 |