| NPI | 1437191590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 37055) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 37055) |
| 207R00000X Internal Medicine (Licence: VA 0101274195) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2022-02-28 |