| NPI | 1447647433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA OS020168) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA FA7617838) |
| 207R00000X Internal Medicine (Licence: PA OS020168) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2026-09-23 |