| NPI | 1629711726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A199690) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101289806) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-16 |
| Last Update Date | 2026-09-03 |