| NPI | 1598982753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101243244) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: NC 128119) |
| 208M00000X Hospitalist (Licence: VA 0101243244) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-12-03 |