| NPI | 1891777058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MA 60129) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 60129) |
| 208M00000X Hospitalist (Licence: MA 60129) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2023-02-14 |