| NPI | 1558341248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: VA 0101236802) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101236802) |
| 208M00000X Hospitalist (Licence: VA 0101236802) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2018-08-10 |