| NPI | 1396208070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID O-1889) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA OP61493043) |
| 208M00000X Hospitalist (Licence: ID O-1889) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2024-11-11 |