| NPI | 1811194483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 62177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 51192) |
| 207P00000X Emergency Medicine (Licence: KY 51192) | |
| 208M00000X Hospitalist (Licence: KY 51192) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2024-09-03 |