| NPI | 1497744684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD33954) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00033954) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WA MD33954) | |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2024-08-30 |