| NPI | 1275658650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 46355) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TN 46355) |
| 207Q00000X Family Medicine (Licence: TN 46355) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-02-17 |