| NPI | 1639706062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 76514) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A187098) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-07-09 |