| NPI | 1295798759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME85377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME85377) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME85377) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME85377) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2014-08-15 |