| NPI | 1093766073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 26537) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 26537) |
| 208M00000X Hospitalist (Licence: KY 26537) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2023-03-10 |