| NPI | 1750521746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 8239) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM A1491-09) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2023-03-07 |