| NPI | 1629387857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS016744) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: DE C2-0023850) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2021-03-25 |