NPI | 1922539907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-11961) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-11961) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2020-10-30 |