| NPI | 1558774497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC MD37085) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC MD37085) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: SC MD37085) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 2017-00650) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2018-04-12 |