| NPI | 1205871472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 34848) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 44167) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2019-10-07 |