| NPI | 1538128137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0086161) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD035846E) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME0086161) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35.135520) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2021-02-18 |