| NPI | 1205000882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 2558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 2558) |
| 208M00000X Hospitalist (Licence: WV 2558) | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2021-05-25 |