| NPI | 1972581908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301061568) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301061568) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2025-07-14 |