| NPI | 1811069263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA 129962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 029448) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2024-11-30 |