| NPI | 1689698896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 238690) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 062844) |
| 207R00000X Internal Medicine (Licence: NC 200860509) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-12-20 |