NPI | 1912521253 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-14751) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E14751) |
Enumeration Date | 2020-06-02 |
Last Update Date | 2024-06-05 |