| NPI | 1942215454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: MA 210111) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: OR 19814) |
| 208M00000X Hospitalist (Licence: OR MD19814) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-03-17 |