| NPI | 1265805295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NY 19189) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 19189) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2021-07-27 |