| NPI | 1013115302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 03525) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 03525) |
| 208M00000X Hospitalist (Licence: KY 03525) | |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2022-07-25 |