| NPI | 1790079168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 275836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275836) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 275836) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2022-08-28 |