| NPI | 1619957883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MA 232379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 232379) |
| Enumeration Date | 2006-01-22 |
| Last Update Date | 2026-05-20 |