| NPI | 1306897251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: KY 20210) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 20210) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2012-04-04 |