| NPI | 1639673635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 174848) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A17484) |
| 208M00000X Hospitalist (Licence: CA A174848) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A174848) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2025-11-30 |