| NPI | 1114456217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A197913) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD196195) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2025-08-17 |