| NPI | 1013967413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX F3228) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NH 17711) |
| 207Q00000X Family Medicine (Licence: NH 17711) | |
| 208M00000X Hospitalist (Licence: NH 17711) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-10-28 |