| NPI | 1164682811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 247596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 235926) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2024-08-13 |