| NPI | 1801836903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 9801262) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 9801262) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2015-02-02 |