| NPI | 1568445500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 12215) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 12215) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2026-08-20 |