| NPI | 1801868898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 3314) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: AZ 3314) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2019-10-24 |