NPI | 1871899393 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 265518) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A20804) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NJ 25MA09318300) | |
Enumeration Date | 2011-01-31 |
Last Update Date | 2017-05-08 |