| NPI | 1851487649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MA 265090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9300837) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 9300837) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-04-05 |