| NPI | 1093733867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME117261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2005-01523) |
| 207R00000X Internal Medicine (Licence: WV WV-SE-1712) | |
| 208M00000X Hospitalist (Licence: WV WV-SE-1712) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-05-04 |