NPI | 1427391465 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL me127920) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME127920) |
207Q00000X Family Medicine (Licence: AR E8958) | |
Enumeration Date | 2013-03-28 |
Last Update Date | 2020-10-27 |