| NPI | 1477642502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A76707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A76707) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A76707) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-28 |