| NPI | 1316227473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102203269) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 3127) |
| 208M00000X Hospitalist (Licence: TN 3127) | |
| 207P00000X Emergency Medicine (Licence: WV ED0135B) | |
| 208M00000X Hospitalist (Licence: VA 0102203269) | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2025-05-14 |