| NPI | 1962827808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: RI md7852) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI md7852) |
| 207R00000X Internal Medicine (Licence: RI md7852) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI md7852) | |
| Enumeration Date | 2014-03-02 |
| Last Update Date | 2014-03-02 |