| NPI | 1740807551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 1493A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0071342) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2023-07-05 |