| NPI | 1346293222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME27412) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME27412) |
| 207P00000X Emergency Medicine (Licence: FL ME27412) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-04-13 |