| NPI | 1417090192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 30719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 030719) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-10-06 |