| NPI | 1912970534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: AZ 22569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 22569) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: MN 35645) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-09-10 |