| NPI | 1770786477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME105977) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 105977) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2016-03-07 |