| NPI | 1558376368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 0366083220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C54950) |
| 207R00000X Internal Medicine (Licence: IN 01042537A) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 0366083220) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA C54950) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 01042537A) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-05-31 |