| NPI | 1356079891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 50587) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 50587) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2025-10-10 |