| NPI | 1558384099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN MD36535) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 36535) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-03-07 |