| NPI | 1508253220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 52739) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 52739) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2020-09-03 |