| NPI | 1952508715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 41142) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 41142) |
| 207R00000X Internal Medicine (Licence: MS 654-L) | |
| 208M00000X Hospitalist (Licence: KY 41142) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2019-10-07 |