| NPI | 1437619855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A177772) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A177772) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2024-07-12 |