NPI | 1649539768 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-8487) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-8487) |
Enumeration Date | 2012-05-09 |
Last Update Date | 2019-07-03 |