| NPI | 1164734166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2012-02403) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 2012-02403) |
| 208M00000X Hospitalist (Licence: NC 2012-02403) | |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2024-07-15 |