| NPI | 1285698381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 10499) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NV 10499) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NV 10499) | |
| 208D00000X General Practice (Licence: NV 10499) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2021-07-29 |