| NPI | 1497853733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 23700) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 23700) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-10-06 |