| NPI | 1881797009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS012629) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA OS012629) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2024-12-31 |