| 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 |