| NPI | 1912931759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0524227) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 111377) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-09-03 |