NPI | 1528021649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E4220) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-4220) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2012-10-05 |