| NPI | 1376960237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 3060) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 3060) |
| 208M00000X Hospitalist (Licence: WV 3060) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2022-04-15 |