| NPI | 1659309623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA OS005142L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS005142L) |
| 208M00000X Hospitalist (Licence: PA OS005142L) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2019-05-09 |