| NPI | 1306813704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 039614) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME83612) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2023-10-09 |