| NPI | 1316961956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01063510A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301081193) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 01063510A) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2023-06-06 |