| NPI | 1922008176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 03636) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 02167) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2014-07-17 |