| NPI | 1447366018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A50159) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A50159) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A50159) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-01-28 |