| NPI | 1992859623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OR MD28512) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD28512) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OR MD28512) | |
| 208000000X Pediatrics (Licence: OR MD28512) | |
| 208M00000X Hospitalist (Licence: OR MD28512) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2019-09-12 |