| NPI | 1578626065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 38804) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 38804) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-10-23 |