| NPI | 1427158856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 21203) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 21203) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-08-30 |