| NPI | 1477088730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 57032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 57032) |
| 208M00000X Hospitalist (Licence: KY 57032) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2023-12-27 |