| NPI | 1073506010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR C6052) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR C-6052) |
| 208M00000X Hospitalist (Licence: AR C-6052) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2010-06-14 |