| NPI | 1578634390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 77280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A86320) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: HI 13541) | |
| 208M00000X Hospitalist (Licence: HI 13541) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-04-17 |