| NPI | 1447296850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 55377) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 27726) |
| 208M00000X Hospitalist (Licence: WI 55377) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-01-23 |