| NPI | 1295799294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 179152) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NY 179152) |
| 207R00000X Internal Medicine (Licence: NY 179152) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2021-02-25 |