| NPI | 1831484252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 25857) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL33748) |
| 208M00000X Hospitalist (Licence: WV 25857) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2021-05-26 |