| NPI | 1447664420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: KY 49991) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IN 01082493A) |
| 207Q00000X Family Medicine (Licence: IN 01082493A) | |
| 207Q00000X Family Medicine (Licence: KY 49991) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2023-05-06 |