| NPI | 1215982459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 009436) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN AI8782523) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2010-08-09 |