| NPI | 1013276815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 52347) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 52347) |
| 208M00000X Hospitalist (Licence: TN 52347) | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2021-11-19 |