| NPI | 1821081472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TN 26654) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 26654) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2015-10-05 |