| NPI | 1285098806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 64623) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 64623) |
| 207P00000X Emergency Medicine (Licence: AL 36768) | |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2023-08-22 |