| NPI | 1447339809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 48823) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 48823-21) |
| 207R00000X Internal Medicine (Licence: WI 48823-021) | |
| 209800000X Legal Medicine (Licence: WI 48823) | |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2024-04-10 |