| NPI | 1790170835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 3122) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 3122) |
| 207R00000X Internal Medicine (Licence: VA 0102205558) | |
| 208M00000X Hospitalist (Licence: WV 3122) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2023-12-07 |