| NPI | 1831171115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 05351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 5351) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2013-02-25 |