| NPI | 1417028184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A79755) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A79755) |
| 207R00000X Internal Medicine (Licence: CA A79755) | |
| 207R00000X Internal Medicine (Licence: VA 0101253201) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A79755) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101253201) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101253201) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-10-15 |