| NPI | 1972610590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 042091) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 042091) |
| 208M00000X Hospitalist (Licence: GA 42091) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-03-05 |