| NPI | 1386684983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME95960) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME95960) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-03-04 |