| NPI | 1306941133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 2003-00795) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 200300795) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-08-17 |