| NPI | 1659360774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MD D0076448) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00043864) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2016-12-22 |