NPI | 1831184068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 38466) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 38466) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2019-01-28 |