| NPI | 1356310650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: LA MD.012364) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: LA 12364) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2018-02-19 |