| NPI | 1194187179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 62086) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 51961) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-08-02 |