| NPI | 1841532041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2018005253) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57.022593) |
| 207P00000X Emergency Medicine (Licence: SC 41085) | |
| 208M00000X Hospitalist (Licence: MO 2018005253) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2021-12-10 |