| NPI | 1669467601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 052227) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: GA 052227) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2020-05-05 |