| NPI | 1710152608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 146812) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2008-01158) |
| 208M00000X Hospitalist (Licence: NC 0000) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2021-08-10 |