| NPI | 1962856013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 67836-20) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IA R-11428) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2023-08-16 |