| NPI | 1447231519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: NC 26065) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 26065) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2010-09-02 |