| NPI | 1437198546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 28812) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 28812) |
| 207P00000X Emergency Medicine (Licence: KY 28812) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2023-05-02 |