| NPI | 1518915859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A84793) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A84793) |
| 207R00000X Internal Medicine (Licence: CA A84793) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2015-03-03 |