| NPI | 1447367057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: DC MD046718) |
| Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: VA 0101056086) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-04-27 |