| NPI | 1417395161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0062606) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS018978) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2019-09-30 |