| NPI | 1558501882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036149539) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 251951) |
| 207P00000X Emergency Medicine (Licence: MO 2014002143) | |
| 207P00000X Emergency Medicine (Licence: CA A123649) | |
| 207R00000X Internal Medicine (Licence: MO 2014002143) | |
| 208M00000X Hospitalist (Licence: MO 2014002143) | |
| 208M00000X Hospitalist (Licence: IN 01082454A) | |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2021-12-07 |