| NPI | 1689057721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 24548) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 24548) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2023-06-22 |