| NPI | 1043204449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 200400256) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 2004-00256) |
| 207R00000X Internal Medicine (Licence: NC 200400256) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2016-01-13 |