| NPI | 1043263478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200800192) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 200800192) |
| 207P00000X Emergency Medicine (Licence: NC 2008-00192) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-03-07 |