| NPI | 1215522685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 35188) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 35188) |
| Enumeration Date | 2021-03-07 |
| Last Update Date | 2024-07-18 |