| NPI | 1114982485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 10051) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MS 10051) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: MS 10051) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-08-14 |