| NPI | 1043265655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-3241) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-3241) |
| 208M00000X Hospitalist (Licence: AR E-3241) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2016-03-27 |