| NPI | 1902031784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MD D74745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D74745) |
| 208M00000X Hospitalist (Licence: MD D74745) | |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2020-06-17 |