| NPI | 1144221060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 025268) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: LA 025268) |
| 208M00000X Hospitalist (Licence: LA 025268) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2021-02-04 |