| NPI | 1487008793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AR E-13277) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-13277) |
| 208M00000X Hospitalist (Licence: AR E-13277) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2024-08-05 |