| NPI | 1245443548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2006029319) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO 2006029319) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2023-07-21 |