| NPI | 1528048485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: TN 28348) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD28348) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2022-03-18 |