| NPI | 1922074277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO0995) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL DO0995) |
| 207Q00000X Family Medicine (Licence: AL DO.995) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2023-03-28 |