| NPI | 1720374671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: DC MD043881) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101258505) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2016-05-26 |