| NPI | 1538257076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WV 26248) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 26248) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-10-18 |