| NPI | 1467849166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AL 38384) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL 38384) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 38384) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2024-02-01 |