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 |