| NPI | 1972772887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 17018) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17018) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2016-09-09 |