| NPI | 1962507277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 2782) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 2782) |
| 208M00000X Hospitalist (Licence: IA 2782) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2014-01-03 |