| NPI | 1467411553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN MD0000027013) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: TN 27013) |
| 207P00000X Emergency Medicine (Licence: AL 17203) | |
| 207P00000X Emergency Medicine (Licence: OH 35.066112) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TN 27013) | |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TN 27013) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: TN 27013) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: AL 17203) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: TN MD0000027103) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: OH 35.066112) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AL 17203) | |
| 208D00000X General Practice (Licence: TN MD0000027103) | |
| 208D00000X General Practice (Licence: AL 17203) | |
| 208D00000X General Practice (Licence: OH 36.066112) | |
| 208D00000X General Practice (Licence: IL 036-101546) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2022-06-24 |