| NPI | 1235387820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2011-0500) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: NC 2011-0500) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2021-03-03 |