| NPI | 1184787277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 2328) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL OS9790) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN 2328) | |
| 208000000X Pediatrics (Licence: FL OS9790) | |
| 208D00000X General Practice (Licence: FL OS9790) | |
| 208D00000X General Practice (Licence: TN 2328) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-04-11 |