| NPI | 1598150054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 2022-01525) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.131061) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35.131061) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2022-08-09 |