NPI | 1023329794 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: SC 32970) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME122766) |
207R00000X Internal Medicine (Licence: SC 32970MD) | |
207R00000X Internal Medicine (Licence: SC LL32970) | |
Enumeration Date | 2010-06-28 |
Last Update Date | 2018-07-10 |