| NPI | 1891788428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AR E-13080) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX H7322) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2025-09-08 |