| NPI | 1194764209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MD D0082802) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036-111758) |
| 207R00000X Internal Medicine (Licence: IL 036-111758) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 036-111758) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2026-06-10 |