NPI | 1255652723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101253181) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301097048) |
207P00000X Emergency Medicine (Licence: MI 5315046455) | |
208M00000X Hospitalist (Licence: VA 0101253181) | |
Enumeration Date | 2010-06-18 |
Last Update Date | 2020-04-27 |