| NPI | 1922161892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WA MD00037600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00037600) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-06-30 |