| NPI | 1427619766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 31577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.247758) |
| 208M00000X Hospitalist (Licence: WV 31577) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2022-09-07 |