| NPI | 1346298262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 029758) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 029758) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2023-11-08 |