| NPI | 1558316596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 13336R) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD MD.13336R) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2010-08-16 |