| NPI | 1871855270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 270491) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 270491) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 270491-1) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2018-04-18 |