| NPI | 1376550806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 62174) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-127011) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-07-21 |