| NPI | 1770592750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 2000268) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NM MD2000-268) |
| 208M00000X Hospitalist (Licence: CO DR.0053245) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2023-01-25 |