| NPI | 1851718738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 303045) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 303045) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2022-07-18 |