| NPI | 1679539613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL Me 12953) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0012953) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-02-13 |