| NPI | 1578501904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 27156) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 27156) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TN 27156) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2022-02-10 |