| NPI | 1841424462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 020433) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 020433) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2025-07-25 |