| NPI | 1881675064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WV 24382) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME92638) |
| 208M00000X Hospitalist (Licence: VA 0101239453) | |
| 207R00000X Internal Medicine (Licence: VA 0101239453) | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2016-05-02 |