| NPI | 1558702423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: CO 20052) |
| Additional Taxonomies | 174V00000X Clinical Ethicist (Licence: CO 20052) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |