| NPI | 1598728784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 60-256544) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 256544) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 60-256544) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2019-06-24 |