| NPI | 1801866835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101040226) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101040226) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VA 0101040226) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IL 036-126666) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2014-09-12 |