| NPI | 1497789150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WV 33148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101236251) |
| 207R00000X Internal Medicine (Licence: NC 2009-01523) | |
| 208M00000X Hospitalist (Licence: NC 2009-01523) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-02-07 |