| NPI | 1194704817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 36648) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: NC 36648) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2017-04-17 |