| NPI | 1326085515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 28524) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 28524) |
| 207P00000X Emergency Medicine (Licence: KY 28524) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2011-08-31 |