| NPI | 1922414721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD218059) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207Q00000X Family Medicine (Licence: HI MD-21779) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2024-05-22 |