| NPI | 1144244344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 17803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 17803) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-12-30 |