| NPI | 1174513790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY 24510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 24510) |
| 207R00000X Internal Medicine (Licence: IN 01078803A) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 01078803A) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2024-02-19 |