| NPI | 1487035333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MI 4301107340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107340) |
| 208000000X Pediatrics (Licence: MI 4301107340) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2023-02-08 |