| NPI | 1417222357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WV 28033) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME124416) |
| 208M00000X Hospitalist (Licence: PA MD446064) | |
| Enumeration Date | 2012-03-11 |
| Last Update Date | 2021-04-13 |