| NPI | 1851682694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-7942) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-7942) |
| 208M00000X Hospitalist (Licence: AR E-7942) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2024-01-05 |