| NPI | 1588640155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX J3992) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 9801598) |
| 207P00000X Emergency Medicine (Licence: NC 9801598) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2016-12-19 |