| NPI | 1306823166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C51121) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA C51121) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA C51121) | |
| 207R00000X Internal Medicine (Licence: CA C51121) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C51121) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA C51121) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C51121) | |
| 208M00000X Hospitalist (Licence: CA C51121) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-08 |