| NPI | 1316131253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WV 25587) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 25587) |
| 207R00000X Internal Medicine (Licence: FL ME98955) | |
| 208M00000X Hospitalist (Licence: KS 0442875) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2024-04-15 |