| NPI | 1306465562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO215339) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 199406) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-08-17 |