| NPI | 1265840334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 27694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT206561) |
| 208M00000X Hospitalist (Licence: WV 27694) | |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2022-07-21 |