| NPI | 1093743817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VA 0102201526) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0102201526) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2018-12-03 |