| NPI | 1598972721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: SC 52169) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101246053) |
| 207R00000X Internal Medicine (Licence: SC 52169) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116017785) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-03-02 |