| NPI | 1215249180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WV 27853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 254789) |
| 208M00000X Hospitalist (Licence: MA 254789) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2022-01-19 |