| NPI | 1811253016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY 48234) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48234) |
| 207R00000X Internal Medicine (Licence: IN 01077463A) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 01077463A) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2024-02-15 |