| NPI | 1023249364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MI 4301102287) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102287) |
| 208000000X Pediatrics (Licence: MI 4301102287) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2026-01-06 |