| NPI | 1740503416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2011026828) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2011026828) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2022-08-30 |