| NPI | 1538570874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OR MD198549) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: VA 0101258753) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2023-08-02 |