| NPI | 1942528955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: DE C1-0012144) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0012144) |
| 207R00000X Internal Medicine (Licence: PA MD454536) | |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: PA MD454536) | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2021-06-25 |