| NPI | 1346359528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-36182) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IA 36182) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-10-05 |