NPI | 1023128493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: ID M-7514) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M-7514) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2019-06-06 |