| NPI | 1598269144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 3915) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 3915) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2022-07-25 |