| NPI | 1417065467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 17202) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: SC 17202) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-07-10 |