| NPI | 1134582133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: SC 86712) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A168962) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: SC 86712) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-06-22 |