| NPI | 1689058398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 96595) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 96595) |
| 208M00000X Hospitalist (Licence: GA 96595) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2026-02-03 |