| NPI | 1700844842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 22976) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 22976) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2025-08-11 |