| NPI | 1386632990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME56509) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME56509) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: FL ME56509) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2025-04-24 |