| NPI | 1194773762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN 37743) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 37743) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-07-21 |