| NPI | 1437350600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E5488) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-5488) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2024-04-11 |