| NPI | 1861615932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NM DO2022-0079) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 6801) |
| 207Q00000X Family Medicine (Licence: NM R312015) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AK 6801) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NM R312015) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-01-04 |