| NPI | 1962745224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME128593) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME128593) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2021-03-24 |