| NPI | 1013930478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 2255) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 041256) |
| 207R00000X Internal Medicine (Licence: GA 041256) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-10-19 |