| NPI | 1568449015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A688400) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A688400) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A68840) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2014-04-21 |