| NPI | 1760559827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 947) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN D00000947) |
| 207P00000X Emergency Medicine (Licence: TN 947) | |
| 207Q00000X Family Medicine (Licence: TN 0947) | |
| 207Q00000X Family Medicine (Licence: FL OS5820) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-04-24 |