| NPI | 1003852831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 38487) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 38487) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2017-04-24 |