| NPI | 1235187816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-12610) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-12610) |
| 207P00000X Emergency Medicine (Licence: TN 29328) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-12-16 |