| NPI | 1487899936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WI 53397) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WI 53397-020) |
| 207R00000X Internal Medicine (Licence: WI 53397) | |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2025-10-03 |