| NPI | 1366489528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.30103) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.30103) |
| 207P00000X Emergency Medicine (Licence: IN 01055909A) | |
| 207Q00000X Family Medicine (Licence: MD D0095415) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2024-02-05 |