| NPI | 1124415344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MI 5101027060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101027060) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 01022040703) | |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2025-06-26 |