| NPI | 1851687727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A14935) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 20A14935) |
| 207R00000X Internal Medicine (Licence: MI 5101019392) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2024-01-31 |