| NPI | 1285211441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TN 77459) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-49635) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2026-06-18 |