| NPI | 1437356326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E998) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E998) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: AR E998) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: AR E998) | |
| 2083S0010X Preventive Medicine, Sports Medicine (Licence: AR E998) | |
| 208D00000X General Practice (Licence: AR E998) | |
| 208M00000X Hospitalist (Licence: AR E998) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2011-09-30 |