| NPI | 1952863391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 4156) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 4156) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2022-07-12 |