| NPI | 1386092799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: IL 036.148327) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036.148327) |
| 207R00000X Internal Medicine (Licence: IL 036.148327) | |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: WI 74791-20) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2024-04-02 |