| NPI | 1245256098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA MT215088) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 225625) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-06-13 |