| NPI | 1093772592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR ARR-4100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR R4100) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2008-12-01 |