| NPI | 1518919224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD35188) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 35188) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-01-08 |