| NPI | 1750324315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 23534) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD0000023534) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-03-28 |