| NPI | 1215912829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 12402) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 12402) |
| 208M00000X Hospitalist (Licence: PR 12402) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2016-12-30 |