| NPI | 1093731929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 35872) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 35872) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2015-11-18 |