| NPI | 1831165190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NH 16080) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 46544) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2013-04-18 |