| NPI | 1750304945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI EC071230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME166404) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME166404) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-03-04 |