| NPI | 1306812680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 29519) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35129352) |
| 207R00000X Internal Medicine (Licence: FL ME85232) | |
| 208M00000X Hospitalist (Licence: FL ME85232) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-09-18 |