NPI | 1336201169 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-4964) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E4964) |
207P00000X Emergency Medicine (Licence: AR E-4964) | |
Enumeration Date | 2006-12-15 |
Last Update Date | 2011-05-24 |