| NPI | 1609039890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO DR .0053886) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A11783) |
| 207R00000X Internal Medicine (Licence: IL 036.126269) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA 20A11783) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 036.126239) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2016-10-31 |