| NPI | 1386872646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 58046) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 58046) |
| 207Q00000X Family Medicine (Licence: AR E6805) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2023-05-10 |