| NPI | 1568672152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 036.120932) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036.120932) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-05-19 |