| NPI | 1851385744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA MD046153L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD 461153L) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2019-09-27 |