| NPI | 1043274533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101102595) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101102595) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2013-11-26 |