| NPI | 1285734665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-04536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036075838) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 2020-04536) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-08-18 |