| NPI | 1265661813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A124640) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301095205) |
| 208M00000X Hospitalist (Licence: MI 4301095205) | |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2013-04-02 |