| NPI | 1962999086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MO 2022012450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022012450) |
| 208M00000X Hospitalist (Licence: MO 2022012450) | |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2024-03-07 |