| NPI | 1003814591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 052116) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 52116) |
| 208M00000X Hospitalist (Licence: GA 052116) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2024-06-11 |