| NPI | 1891953543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 04379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 04379) |
| 208M00000X Hospitalist (Licence: IA 04379) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2023-12-15 |