| NPI | 1417160607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY 43656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 43656) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AL 28603) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2022-03-17 |