| NPI | 1407060189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 48702) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48702) |
| 207R00000X Internal Medicine (Licence: WV 23943) | |
| 208M00000X Hospitalist (Licence: ME MD22886) | |
| 207R00000X Internal Medicine (Licence: TN 52862) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-06-20 |