| NPI | 1760494116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A114505) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A114505) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2016-09-28 |