| NPI | 1376574160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WA MD00044507) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NV 20736) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WA MD00044507) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-12-02 |