| NPI | 1518902014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101055107) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D50826) |
| 208M00000X Hospitalist (Licence: MD D0050826) | |
| 207P00000X Emergency Medicine (Licence: MD D0050826) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2012-04-13 |