| NPI | 1437501202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 28593) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 59092) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2024-05-29 |