| NPI | 1447341292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO R8E01) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO R8E01) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-12-02 |