| NPI | 1245264316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 43231) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 222712) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-06-20 |