| NPI | 1063689651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2009016964) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2009016964) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2022-09-20 |