| NPI | 1740249309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD041636) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD041636) |
| 207Q00000X Family Medicine (Licence: DC MD041636) | |
| 208D00000X General Practice (Licence: DC MD041636) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2021-03-18 |