NPI | 1568559698 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: TN 38345) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD38345) |
207P00000X Emergency Medicine (Licence: TN 38345) | |
207RS0010X Internal Medicine, Sports Medicine (Licence: TN MD38345) | |
Enumeration Date | 2006-10-09 |
Last Update Date | 2025-08-07 |