| NPI | 1225370471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101260095) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-9496) |
| 207Q00000X Family Medicine (Licence: AR E-9496) | |
| 207Q00000X Family Medicine (Licence: VA 0101260095) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2023-04-24 |