| NPI | 1720719867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IA R-13417) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MDR-8343) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2025-07-08 |