| NPI | 1275594046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2002022535) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MO 2002022535) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-11-19 |