| NPI | 1467439729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: WI 45774) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: WI 45774) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2023-12-15 |