| NPI | 1376371583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 17153-I) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY P140024) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2025-11-26 |