| NPI | 1689627473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KS 04-30752) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004018274) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-12-13 |