| NPI | 1942529912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: ID M-12957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-8894) |
| 207R00000X Internal Medicine (Licence: IA 41267) | |
| 207R00000X Internal Medicine (Licence: ID M-12957) | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2022-05-24 |