| NPI | 1578773487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 47625) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 47625) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-08-14 |