| NPI | 1033118898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 18388) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01065993A) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2022-04-21 |