| NPI | 1841603941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: ID o-1405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 6020950-1204) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: UT 6020950-1204) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-12-05 |