| NPI | 1013924695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 030940) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 030940) |
| 208M00000X Hospitalist (Licence: GA 030940) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2021-05-24 |