| NPI | 1669428421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2002014397) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2002014397) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-10-21 |