| NPI | 1427679844 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 69280) | 
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ R78010) | 
| 207R00000X Internal Medicine (Licence: AZ 69280) | |
| Enumeration Date | 2020-04-27 | 
| Last Update Date | 2025-09-24 |