| NPI | 1992851323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 8079) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: NV 8079) |
| 2081H0002X Physical Medicine & Rehabilitation Hospice and Palliative Medicine (Licence: NV 8079) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-01-11 |