| NPI | 1922274794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA md 435162) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA MD435162) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2014-03-13 |