| NPI | 1639239825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 38797) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 038797) |
| 207P00000X Emergency Medicine (Licence: GA 038797) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-01-17 |