| NPI | 1255357927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 5758867-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 57588671205) |
| 208M00000X Hospitalist (Licence: UT 5758867-1205) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2015-05-16 |