| NPI | 1659451797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A61444) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 000000A61444) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2025-04-22 |