| NPI | 1538352604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102202256) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 1988) |
| 207Q00000X Family Medicine (Licence: TN 1988) | |
| 207Q00000X Family Medicine (Licence: VA 0102202256) | |
| 207P00000X Emergency Medicine (Licence: TN DO1988) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2023-04-07 |