| NPI | 1588152789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 66853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 66853) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-04-28 |