| NPI | 1154406015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: CA G54939) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G54939) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-07-17 |