| NPI | 1821034307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IN 01085650A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 81980) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WI 81980-20) | |
| 207R00000X Internal Medicine (Licence: IL 036114571) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2024-04-28 |