| NPI | 1184011413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD212925) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101267473) |
| 208M00000X Hospitalist (Licence: VA 0101267473) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2022-10-17 |