| NPI | 1760414916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OR MD156766) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35087067) |
| 207R00000X Internal Medicine (Licence: NC 200900320) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 200900320) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-02-04 |