| NPI | 1881872075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WV 24221) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301089884) |
| Enumeration Date | 2008-02-10 |
| Last Update Date | 2024-08-05 |