| NPI | 1538484472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 2652) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 2652) |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2017-02-27 |