| NPI | 1063503233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 048335) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 048335) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-11-04 |