| NPI | 1851583298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.202545) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD202545) |
| 207R00000X Internal Medicine (Licence: IN 01065514A) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA # 062722) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2016-10-24 |