| NPI | 1639431893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 2746) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 03766) |
| 207P00000X Emergency Medicine (Licence: TN 3652) | |
| 207P00000X Emergency Medicine (Licence: VA 0102203936) | |
| 207P00000X Emergency Medicine (Licence: NC 2019-00252) | |
| 207P00000X Emergency Medicine (Licence: TX S1795) | |
| 207P00000X Emergency Medicine (Licence: OH 34.014869) | |
| 207P00000X Emergency Medicine (Licence: FL OS17425) | |
| 207P00000X Emergency Medicine (Licence: PA OS021546) | |
| 207P00000X Emergency Medicine (Licence: SC 83773) | |
| 207P00000X Emergency Medicine (Licence: CO DR.0067816) | |
| 207Q00000X Family Medicine (Licence: KY 03766) | |
| 207Q00000X Family Medicine (Licence: WV 2746) | |
| 207Q00000X Family Medicine (Licence: VA 0102203936) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2021-12-22 |