| NPI | 1457309452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.19279) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL MD.19279) |
| 207R00000X Internal Medicine (Licence: AL MD.19279) | |
| 207Q00000X Family Medicine (Licence: AL MD.19279) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-01-10 |