| NPI | 1699086454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 2449) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 2449) |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2013-10-16 |