| NPI | 1801856414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN DO1551) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TN 1551) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2023-09-20 |