| NPI | 1124413752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MA 274708) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 274708) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2022-07-12 |