| NPI | 1821288937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: FL ME89947) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME89947) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: FL ME89947) | |
| 207QB0002X Family Medicine Obesity Medicine (Licence: FL ME89947) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: FL ME89947) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2012-07-11 |