| NPI | 1639163611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01042384A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 19830) |
| 208M00000X Hospitalist (Licence: KY 19830) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2021-02-08 |