| NPI | 1649367632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MD D64533) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD d0064533) |
| 207R00000X Internal Medicine (Licence: MD D64533) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2015-04-06 |