| NPI | 1578507133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MS 11415) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 11415) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2010-07-20 |