| NPI | 1487017679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KS 04-47096) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO DR.0065832) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY TP355) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-07-20 |