| NPI | 1306885520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 26235) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-5662) |
| 207Q00000X Family Medicine (Licence: TN 37303) | |
| 207Q00000X Family Medicine (Licence: AR E-5662) | |
| 207P00000X Emergency Medicine (Licence: TN 37303) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2024-11-26 |