| NPI | 1013240035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME109075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV WV-SE-1725) |
| 208M00000X Hospitalist (Licence: WV WV-SE-1725) | |
| 208M00000X Hospitalist (Licence: FL ME109075) | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2021-05-04 |