| NPI | 1053380188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101243557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 208602) |
| 207R00000X Internal Medicine (Licence: VA 0101243557) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-07-31 |