| NPI | 1851490460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 41194) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2001017143) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-03-14 |