| NPI | 1831179779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR R2196) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR R2196) |
| 208M00000X Hospitalist (Licence: AR R2196) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2010-06-14 |