| NPI | 1184060832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 56718) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036144152) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 036144152) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2020-08-07 |