| NPI | 1962539544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO DR.0040315) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 40315) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-06-22 |