| NPI | 1023247566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 49405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E6788) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2017-07-25 |