| NPI | 1093785230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX H7792) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX H7792) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2019-02-11 |