| NPI | 1487947396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TN 51369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 51369) |
| 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: TN MD51369) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2022-03-18 |