| NPI | 1093985947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-23452) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002127) |
| 207R00000X Internal Medicine (Licence: MA 243945) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: HI MD-23452) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2023-09-19 |