| NPI | 1366857468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: NY 291377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 291377) |
| 207R00000X Internal Medicine (Licence: DE C1-0012476) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2020-10-14 |