| NPI | 1194005231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME124812) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-45472) |
| 208M00000X Hospitalist (Licence: NE 30807) | |
| Enumeration Date | 2011-08-21 |
| Last Update Date | 2022-10-12 |