| NPI | 1326304593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 076730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 076730) |
| 207R00000X Internal Medicine (Licence: NY 280713) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2022-06-21 |