| NPI | 1376716779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101243208) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-00412) |
| 207R00000X Internal Medicine (Licence: VA 0101243208) | |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2023-08-08 |