| NPI | 1780738625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 101046753) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 101046753) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2025-09-11 |