| NPI | 1982921383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 48528) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2014-00801) |
| 207P00000X Emergency Medicine (Licence: UT 8607653-1205) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2022-03-17 |