| NPI | 1356325856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2006-00764) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 2006-00764) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2019-03-04 |