| NPI | 1942256102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD15534) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD15534) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TN MD15534) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2025-03-28 |