NPI | 1265787295 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 53396) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 53396) |
Enumeration Date | 2012-07-16 |
Last Update Date | 2025-04-25 |