| NPI | 1548465156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C55707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C55707) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD434121) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA C55707) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101241733) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2021-10-14 |