| NPI | 1497810220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 50909) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00037749) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2024-05-06 |