| NPI | 1881884500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 246044) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: MA 246044) |
| 208M00000X Hospitalist (Licence: MA 246044) | |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: PA MD431879) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2019-09-06 |