| NPI | 1235182429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN 24481) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 24481) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-12-21 |