NPI | 1386797140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR R-3515) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR R-3515) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2018-07-16 |