| NPI | 1104176122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 053299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 53299) |
| 208M00000X Hospitalist (Licence: CT 053299) | |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2024-02-08 |