| NPI | 1265788228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: CA 20A18091) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV DO1879) |
| 207Q00000X Family Medicine (Licence: PA OS016066) | |
| 171100000X Acupuncturist (Licence: NV DO1879) | |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2021-08-16 |