| NPI | 1568571438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-2046) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E2046) |
| 207P00000X Emergency Medicine (Licence: AR E-2046) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-11-19 |