| NPI | 1528389681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA C184081) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C184081) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MO 2015015501) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2015015501) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C184081) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2023-07-05 |