| NPI | 1457988248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101273322) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0116034566) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-09-04 |