| NPI | 1659398279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO MO103764) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036154098) |
| 207R00000X Internal Medicine (Licence: IL 036154098) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-12-28 |