| NPI | 1285605113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OK 21872) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 21872) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2015-12-03 |