| NPI | 1619142023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: OR MD197787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-00692) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: NC 2012-00692) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2012-00692) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2020-11-10 |