| NPI | 1730273517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: HI DOS-1063) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI DOS-1063) |
| 207R00000X Internal Medicine (Licence: HI DOS-1063) | |
| 208U00000X Clinical Pharmacology (Licence: HI DOS-1063) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-10-13 |