| NPI | 1063526606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR C-6166) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR C6166) |
| 208M00000X Hospitalist (Licence: AR C-6166) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2019-06-18 |