| NPI | 1922111400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: OK 35554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 35554) |
| 207R00000X Internal Medicine (Licence: IA 37575) | |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: IA 37575) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2022-05-24 |