| NPI | 1376962100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 553418) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 53418) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2021-09-30 |