| NPI | 1770514507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS011175L) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS011175L) |
| 207R00000X Internal Medicine (Licence: PA OS011175L) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-10-02 |