| NPI | 1346475506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.203694) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS31922) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME171498) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: LA MD203694) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: LA MD203694) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA MD203694) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2025-08-18 |