| NPI | 1285169532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 89011) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 41056) |
| 207R00000X Internal Medicine (Licence: GA 89011) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 12552) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2022-06-21 |