NPI | 1063461291 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME55979) |
Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: FL ME55979) |
Enumeration Date | 2006-05-06 |
Last Update Date | 2020-02-17 |