| NPI | 1285864405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MD D92272) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-01288) |
| 208M00000X Hospitalist (Licence: NC 2012-01288) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2023-05-22 |