| NPI | 1467431452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO28974) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A10208) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A10208) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2009-10-08 |