| NPI | 1538160536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 36543) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 36543) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2008-02-19 |