| NPI | 1588683114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0102201870) |
| Additional Taxonomies | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: VA 0102208170) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: VA 0102201870) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-11-27 |