| NPI | 1790984557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO DR.0046727) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 46727) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2021-04-16 |