| NPI | 1023055563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 37588) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TN 37588) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-02-07 |