| NPI | 1033430582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A123523) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A123523) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2018-10-26 |