| NPI | 1134222300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101042263) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101042263) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2018-10-18 |