| NPI | 1194103002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY 55018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01085727A) |
| 207R00000X Internal Medicine (Licence: KY 55018) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KY 55018) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01085727A) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 01085727A) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2024-02-19 |