| NPI | 1336119015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 20642) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL 20642) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2016-05-16 |