| NPI | 1043451354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA OS015150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT011552) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2020-08-07 |