| NPI | 1780633842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS008931L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS008931L) |
| 208M00000X Hospitalist (Licence: PA OS008931L) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2022-06-08 |