| NPI | 1902834898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AR N-8043) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 17227) |
| 207R00000X Internal Medicine (Licence: AR N-8043) | |
| 2080H0002X (Licence: AR N-8043) | |
| 208M00000X Hospitalist (Licence: AR N-8043) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-07-21 |