| NPI | 1447239702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR C-6140) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AR C-6140) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-02-27 |