| NPI | 1780627216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200300317) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 01086547A) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 200300317) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2025-02-03 |