| NPI | 1770795791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 40605) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A114617) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-02-05 |