| NPI | 1992975098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA OT012390) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS015518) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2014-06-09 |