| NPI | 1750337911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 01055519a) |
| 2085R0001X Radiology, Radiation Oncology (Licence: IN 01055519A) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2018-02-28 |