| NPI | 1821591926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY 55472) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 55472) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 21543) | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2024-11-18 |