| NPI | 1174596977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA MD419184) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD419184) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2022-05-19 |