| NPI | 1851604250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 25478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096849) |
| 208M00000X Hospitalist (Licence: WV 25478) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2021-06-11 |