| NPI | 1528551488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: MI 5101025207) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101024017) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2023-03-03 |