| NPI | 1740451343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 47506) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 64516) |
| Enumeration Date | 2008-03-22 |
| Last Update Date | 2016-09-23 |