| NPI | 1518914654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 225697) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 225697) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 12256987) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-09-13 |