| NPI | 1790102069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 54759) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 54759) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2018-03-17 |