| NPI | 1386977742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 41946) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 41946) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2021-07-07 |