| NPI | 1457801441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL OS14568) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL OS14568) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2019-05-26 |