| NPI | 1215016878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: VA 0101233436) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A49978) |
| 207VH0002X Obstetrics & Gynecology Hospice and Palliative Medicine (Licence: VA 0101233436) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2022-06-27 |