NPI | 1023136686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MN 53026) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 53026) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2024-03-07 |