| NPI | 1871539304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 37840) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 7200) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2011-09-28 |